Rudowsky, Mary Jane
Rudowsky, Mary Jane is an sole proprietor health care provider with primary practice located at 24755 Chagrin Blvd 345, Beachwood OH 44122-5682. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Rudowsky, Mary Jane can be contacted via phone (216) 464-0778.Contact Information
Primary practice address
24755 Chagrin Blvd 345
Beachwood OH 44122-5682
Phone: (216) 464-0778
Fax: (216) 765-1461
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN166982 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | COA1145NP | Ohio |
Profile Details
NPI number | 1689996274 |
---|---|
LBN Legal business name | Rudowsky, Mary Jane |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 23rd, 2010 |
Last updated | Jul 5th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689996274 | NPPES |
Ohio | MEDICAID | 3085012 |
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